Personal Statement

I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more

I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.

More about Dr. Bala Subramaniyam

Dr. Bala Subramaniyam is a popular Radiologist in Porur, Chennai. You can visit him at Vignesh Hospital in Porur, Chennai. You can book an instant appointment online with Dr. Bala Subramaniyam on Lybrate.com.

Lybrate.com has an excellent community of Radiologists in India. You will find Radiologists with more than 32 years of experience on Lybrate.com. You can find Radiologists online in Chennai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

surgery is not the first choice, if presently if pain is acute. just take rest laying on hard surface Even floor etc.. Doing yoga esp bhujangasana regularly at lest for 5 mints will help you to reduce the pain as well as the disc bulge. Along with bhujangasana, if you do ardha shalabhasana with each leg for 5 mints & shalabhasana for 5 minits. There will be complete recovery.
Along with yogaasan stat using homeopathy medicine to prevent the backache in future.

Kindly show me a photograph of the affected part.
Rule out diabetes & vit. D deficiency or any other metabolic disorder.
Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress are harmful
Do hot fomantation.
Paracetamol 250mg od & sos x 5days.
Caldikind plus 1tab od x10.
Do neck, back & general exercises.
It may have to be further investigated.
You will need other supportive medicines also.
Make sure you are not allergic to any of the medicines you are going to take.
If it does not give relief in 1 wk, contact me again. Do not ignore. It could be beginning of a serious problem.

Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi.
It is good that you have actually mentioned mri report of your mother which shows degenerative changes in spine with degenerative discs at multiple levels and ligamentum hypertrophy.
But since we have to treat the patient and not mri, please elaborate her problem as to a detailed discussion of back pain which means duration of pain and mode of onset. I would also like to ask you if it is associated with any leg pain or any other neurological symptoms like numbness, paraesthesias (electrical shock like abnormal sensations) or any weakness in limbs.
Please also tell me about any associated symptoms like fever, weight loss etc.
What medications she generally takes and what has been her treatment history till now for existing problem. Do not hesitate to contact me if you need any further assistance.

Is it confirmed on MRI. If not you need to get an MRI done first. Then visit an orthopedic surgeon who would assess the severity of the condition. Minor bulges may be taken care off with medicine and lifestyle changes. However severe ones may require surgery depending on your health status.

Investigations advised -
hb, tlc, dlc, esr, sugar f & pp, uric acid, vit d3
urine r/e
x ray of the affected part. Anyway you may try-
sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick mattress are harmful
use no pillow under the head.
Do hot fomentation.
Paracetamol 250mg od & sos x 5days.
Caldikind plus 1tab od x10. Do neck back knee & general exercises. It may have to be further investigated.
Make sure you are not allergic to any of the medicines you are going to take.
If no relief in 4_5 days, then inform again.

Mri of ls spine showing narrow l4/5 does not necessasarily mean operation. Most of them can be managed without operation.
This is quite a common condition.
Rule out diabetes & vit. D deficiency or any other metabolic disorder.
Sleep on a hard bed with soft bedding on it.
Use no pillow under the head.
Any way take caldikind plus (mankind)1tab odx10days paracetamol 250mg od & sos x 5days you do back(spine) exercises
contact me again if need be. Make sure you are not allergic to any of the medicines you are going to take.

Uterine fibroids are referred to as benign, abnormal growths which tend to develop in the uterine walls of a woman. The size of such growths can range from a few centimeters to even excess of a few inches. As such, they can cause the uterus to increase to the size of a five month pregnancy. Although, the symptoms of fibroids are not always apparent, they often cause heavy bleeding and pain in women. A recent research concluded that around 60 to 75 percent women contract such fibroids by the age of 50, at least once in their life.

Depending on the site of formation, uterine fibroids are distinguished into different types. Intramural fibroids in the lining of the uterus and subserosal fibroids which develop outside the uterus are the most commonly observed fibroids.

What causes Uterine Fibroids?Although, the exact reason for the formation of fibroids are obscure, medical professionals have determined certain factors that may affect their formation. Some of them are:1) Hormones: Progesterone and estrogen, produced by the ovaries regenerate the uterine lining during each menstrual cycle and trigger the growth of fibroids.2) Family history: If you have had a family history of uterine fibroids, then you’re likely to develop the condition yourself as well.3) Pregnancy: The production of progesterone and estrogen increases during pregnancy which increases the likelihood of fibroids.

What are the signs of the condition?Depending on the location and size of the tumors, symptoms of such fibroids include:1) Heavy bleeding and blood clots during periods2) Pain in the pelvis3) Frequent menstrual cramps4) Pressure and pain in the lower abdomen5) Swelling in the abdomen6) Pain while intercourse

What is the procedure of the treatment?Ultrasound and pelvic MRI are common diagnostic procedures to check for uterine fibroids. After diagnosis, depending on your age, size of the fibroid and your comprehensive health, the doctor would prescribe you with appropriate medications. Only after medications prove futile, doctors opt for minimally invasive surgeries.

Hello,
Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them .
I will advise to check your vit B12 and vit D3 level.
Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Sleep on a hard bed with soft bedding on it.
Use no pillow under the head.
Kindly take biod3 max 1 tab dailyx10
paracetamol 250mg od & sos x5days do back (spine)/shoulder/knee exercises
make sure you are not allergic to any of the medicines you are going to take
do not ignore it.
It may have to be further investigated.
It could be beginning of a serious problem.
If no relief in 4_5 days, then contact me again.
Contact your family doctor or nearest hospital for emergency help.

Its sad to know about your conditions. Stem cell can provide little help on immediate spinal trauma... there r other parameters to evaluate the neurology which is not possible with chatting.. prognosis is not good in long standing cases...

Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi.
For me to answer your question, I need some information from your side: - a detailed neurological examination including assessment of motor, sensory ex and analysis of deep tendon reflexes of lower limbs
- dynamic x rays of ls spine
- mri ls spine to correlate clinical findings with radiology. Do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation.

The uterus or womb, is a muscular structure and is held in place by ligaments and pelvic muscles. If these muscles or tendons become weak, they cause prolapse and are no longer able to hold the uterus in its place.

Uterine prolapse happens when the uterus falls or slips from its ordinary position and into the vagina or birth waterway. It could be complete prolapse or even incomplete at times. A fragmented prolapse happens when the uterus is just hanging into the vagina. A complete prolapse depicts a circumstance in which the uterus falls so far down that some tissue rests outside of the vagina. Likewise, as a lady ages and with a loss of the hormone estrogen, her uterus can drop into the vaginal canal. This condition is known as a prolapsed uterus.

Risks: The risks of this condition are many and have been enumerated as follows:

Complicated delivery during pregnancy Weak pelvic muscle Loss of tissue after menopause and loss of common estrogen Expanded weight in the stomach area, for example, endless cough, constipation, pelvic tumors or accumulation of liquid in the guts Being overweight Obesity causing extra strain on the muscles Real surgery in the pelvic zone Smoking

Symptoms: Some of the most common symptoms of prolapse involve:

Feeling of sitting on a ball Abnormal vaginal bleeding Increase in discharge Problems while performing sexual intercourse Seeing the uterus coming out of the vagina A pulling or full feeling in the pelvis Constipation Bladder infections

Nonsurgical medications include:

Losing weight and getting in shape to take stress off of pelvic structures Maintaining a distance from truly difficult work Doing Kegel workouts, which are pelvic floor practices that strengthen the vaginal muscles. This can be done at any time, even while sitting down at a desk. Taking estrogen treatment especially during menopause Wearing a pessary, which is a gadget embedded into the vagina that fits under the cervix and pushes up to settle the uterus and cervix Indulging in normal physical activity

Some specialists use the following methods to diagnose the problem:

The specialist will examine you in standing position keeping in mind you are resting and request that you to cough or strain to build the weight in your abdomen. Particular conditions, for example, ureteral block because of complete prolapse, may require an intravenous pyelogram (IVP) or renal sonography. Color is infused into your vein, and an X-ray is used to view the flow of color through your urinary bladder. An ultrasound might be utilised to rule out any other existing pelvic issues. In this test, a wand is used on your stomach area or embedded into your vagina to create images of the internal organ with sound waves.

The symptoms described by you do not point to a particular diagnosis. Backache is the commonest ailment. Rule out diabetes & vit. D deficiency or any other metabolic disorder.
Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress are harmful
use no pillow under the head.
Any way take ibuprofen 200mg od & sos x 5days caldikind plus (mankind) 1 tab odx10days
you will need other supportive medicines also.
Take multivitamins & other antioxidants along with.
Do back (spine) exercises
make sure you are not allergic to any of the medicines you are going to take
do ask for detailed treatment plan. Don? t ignore, lest it becomes starting point of a major problem.

24 years old with slipped cervical disc. Depends upon the extent of slip and your symptoms
if you are experiencing neck pain and upper limb pain then you should not do activities involving sudden, jerking movements of neck. Medicines and neck muscle strengthening exercises can very well take care of this problem further intervention is needed only of disc is causing nerve or cord compression.

Fellowship of the Royal College of Surgeons (FRCS), Membership of the Royal College of Surgeons (MRCS)

Orthopedist

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the problem is you have disc bulge at 2 intervertebral levels causing compression of the nerve root that comes out of the spinal canal at that level causing pain in the back and legs . (disc is like gelatinous cushion inbetween two vertebral bones and it acts like a shock absorber . sometimes the disc comes out of its normal position and presses on the nerve which comes from the spinal cord. depending on the nerve that is compressed you can get pain in the back and / or legs, numbness, weakness etc.